Provider Demographics
NPI:1053330092
Name:SANTORO, ANN M (MA LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M
Last Name:SANTORO
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 BARDMOOR PL
Mailing Address - Street 2:#K106
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1317
Mailing Address - Country:US
Mailing Address - Phone:727-319-9650
Mailing Address - Fax:
Practice Address - Street 1:4625 EAST BAY DR
Practice Address - Street 2:#301
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-5747
Practice Address - Country:US
Practice Address - Phone:727-320-0324
Practice Address - Fax:727-535-9822
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MH5241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health